The construction and equipping of a new modern surgical and transplant building on the basis of the State Institution "National Scientific Center of Surgery and Transplantology named after O.O. Shalimov of the National Academy of Medical Sciences of Ukraine" will ensure the creation of new high-tech medical facilities (hybrid  operating rooms, operating rooms-transformers, operating rooms using robotic surgery), training of leading specialists, expansion of the nomenclature and the total number of surgical interventions, etc. Over the past decades, modern medicine has undergone radical changes. This is especially true of surgical technologies and treatment methods, which have become highly specialized, multidisciplinary, high-tech and minimally invasive. This is the result of modern research into the development of diseases and trends in their treatment, in which high-tech diagnostics algorithms and multidisciplinary treatment tactics, as well as surgical techniques, are closely linked. Taking into account the above, approaches to the organization of medical care have also changed. In the countries of the European Union, North America and the Asia-Pacific region, monofunctional surgical clinics, at the regional and especially at the national level, have been modernized in the direction of multifunctionality and high-technologicalness. This has made it possible to significantly reduce costs for the healthcare system and, most importantly, significantly improve the quality of medical care, prevent complications and reduce the patient's hospital stay, the percentage of disabilities and the duration of social and labor rehabilitation. The change in the medical and organizational paradigm has also necessitated the modernization of existing or even the construction of new medical buildings that meet the relevant requirements:

• the presence of hybrid operating rooms and operating rooms-transformers;

 • the introduction of robotic surgery; • availability of comfortable and safe conditions for patients and medical staff;

• ensuring optimal routing of patients, medical and support staff;

• creating conditions for improving the energy efficiency of premises.

Today, no medical institution in Ukraine, in particular in the surgical and transplant direction, meets modern requirements and standards set for multidisciplinary surgical and transplant clinics. Ventilation and heating systems, power supply networks, location of premises (ensuring routing and conditions for patients, staff, etc.) and other technical characteristics of the building (ceiling height, placement of load-bearing structures, impossibility of transforming premises, etc.) do not meet modern standards for the construction of medical institutions and make it impossible to place innovative equipment, lay out the route of patients, staff and visitors in accordance with infectious safety instructions. Thus, the lack of necessary technical and technological conditions significantly complicates the provision of highly specialized and high-tech medical care, which negatively affects the quality, standards and volume of medical services due to an increase in bed-days, a high risk of complications, refusal of hospitalization of seriously ill patients due to the occupation/absence of specialized beds or high-tech equipment, etc., necessitates the referral of patients under the "Treatment Abroad" program and, accordingly, causes social tension and an increase in state/regional budget expenditures. Among other things, the lack of a high-tech medical institution in Ukraine significantly worsens the overall rating of the national healthcare system and contradicts the directions of development of the global medical industry, including European integration measures and actions in the field of healthcare. State Institution "National Scientific Center of Surgery and Transplantology named after O.O. Shalimov of the National Academy of Medical Sciences of Ukraine" (hereinafter referred to as the Center) is almost the only scientific and practical healthcare institution in Ukraine that provides highly specialized medical care in a multidisciplinary surgical and transplant direction. However, according to their technical characteristics, the existing premises of the Center (built in 1975) do not meet the requirements listed above and hinder scientific and practical development, limit the level and areas of medical care, and slow down the response to today's organizational and clinical challenges.